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Radiology · Chest radiography: consolidation
Sample itemA chest radiograph shows a right lower-zone opacity containing branching air bronchograms without volume loss. What is the most likely interpretation?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Lobar consolidation
Air bronchograms within an alveolar opacity indicate air-filled bronchi surrounded by fluid-filled alveoli, supporting consolidation. Unlike collapse, consolidation usually does not cause major volume-loss signs.
Option by option
A. Pleural effusion
Pleural effusion blunts costophrenic angles and forms a meniscus.
B. Pneumothorax
Pneumothorax causes peripheral lucency without lung markings.
C. Lobar consolidation (correct)
Correct. Air bronchograms without volume loss are typical of consolidation.
D. Lobar collapse
Collapse usually pulls fissures or mediastinum toward the affected lobe.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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